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Inicio Acta Otorrinolaringológica Española Paediatric nasal dermoids: Our experience
Journal Information
Vol. 71. Issue 1.
Pages 26-31 (January - February 2020)
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Vol. 71. Issue 1.
Pages 26-31 (January - February 2020)
Original article
Paediatric nasal dermoids: Our experience
Dermoides nasales pediátricos: nuestra experiencia
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38
Ravi Meher, Avani Jain
Corresponding author
avanijain87@hotmail.com

Corresponding author.
, Ishwar Singh, Nivea Singh, Raman Sharma
Department of ENT, MAMC, New Delhi, India
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Table 1. Characteristics of nasal dermoid patients.
Abstract
Objectives

Nasal dermoids are rare developmental anomalies seen in children. This study reports our experience in a developing country of the clinical and radiological findings as well as the management of nasal dermoids.

Methods

A retrospective analysis was performed, from 2012 to 2017, for 10 patients admitted for the treatment of nasal dermoids at a tertiary care center. The clinical presentation, preoperative imaging (CT/MRI), surgical approach, intraoperative findings, complications and recurrence were reviewed.

Results

Ten patients were included in this study, 6 males and 4 females, with an average age of 10.2 years at the time of presentation. Three patients presented with a mass located on the nasal dorsum, 1 had a nasoglabellar mass, 2 patients had a mass located on the nasal dorsum with visible sinus, and 4 patients presented with a sinus on the nasal dorsum, in which 1 patient had a tuft of hair. CT was performed in all the cases. It was not suggestive of intracranial extension in 9 patients, and was non-diagnostic in one patient. Both CT and MRI were performed on 2 patients, with no evidence of intracranial extension. Surgical and radiological findings were concordant in 8 patients (80%).

Conclusion

Nasal dermoids require preoperative imaging and precise surgical planning to achieve complete removal.

Keywords:
Nasal dermoid
Congenital nasal lesion
Pediatric
Resumen
Objetivos

Los dermoides nasales son anomalías del desarrollo poco frecuentes que se observan en niños. Este estudio informa de nuestra experiencia, en un país en desarrollo, de los hallazgos clínicos y radiológicos, así como el manejo de los dermoides nasales.

Métodos

Se realizó un análisis retrospectivo, desde 2012-2017, para 10 pacientes ingresados ??para el tratamiento de dermoide nasal en un instituto de nivel terciario. Se revisaron la presentación clínica, las imágenes preoperatorias (TC/RM), el abordaje quirúrgico, los hallazgos intraoperatorios, las complicaciones y la recurrencia.

Resultados

Se incluyeron 10 pacientes en este estudio, 6 varones y 4 mujeres, con una edad promedio de 10,2 años en el momento de la presentación. Tres pacientes presentaban una masa localizada en el dorso nasal, uno tenía una masa nasoglabellar, 2 pacientes presentaban una masa localizada en el dorso nasal con seno visible y 4 pacientes presentaban un seno en el dorso nasal, de los cuales un paciente tenía un mechón de pelo. La TC se realizó en todos los casos. No sugirió una extensión intracraneal en 9 pacientes y no fue diagnóstico en un paciente. Tanto la TC como la RM se realizaron en 2 pacientes, sin evidencia de extensión intracraneal. Los hallazgos quirúrgicos y radiológicos fueron concordantes en 8 pacientes (80%).

Conclusión

Los dermoides nasales requieren imágenes preoperatorias y una planificación quirúrgica precisa para lograr una extracción completa.

Palabras clave:
Dermoide nasal
Lesión nasal congénita
Pediátrico

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